Justin’s Blog: “The Jog”

It’s “supposed” to be a special time.  You’ve worked hard and are ready to take a break.  But you feel more distressed and a certain pressure to be relaxed.  Welcome to anxiety invading special moments.   This can be true with vacations, holidays, days/hours off, and birthdays and anniversaries.  If you struggle to feel happy, content, […]

Talk therapy is not the way to improve with Obsessive Compulsive Disorder (OCD).  Talk therapy is also known as “supportive psychotherapy” or insight-oriented therapies.  In many cases, these approaches can OCD worse.  Writer and actress Lena Dunham shares how she experienced both sides of the street.  The Gold Standard of treatment is Exposure and Response Prevention […]

As a gift to my subscribers, the guide, Get Unstuck: Your Intro to Facing Fear & Getting Healthy is YOURS, FREE.  Not a subscriber? This is the updated version of the prior “Thriving Mental Health Alongside COVID-19,” leaving the best intact along with new considerations for 2021 and several new handouts, connected articles, guides, and […]

As with many of my clients, Anne* was befuddled as to why she couldn’t stop obsessing.  She was a high performer at work and revered in relationships.  However, she couldn’t get it out of her thoughts that she was failing, that imminent doom was about to befall her, and that it would all come crashing […]

Your best treatment is closely connected to how closely you stick to the evidence base.  However, you as the client always need to advocate for your best treatment.  Successful clients are assertive for their treatment, ask good questions, and sometimes even disagree with their professional.  This is healthy.  Client involvement and assertiveness is a fundamental […]

You heard me. Yes, practice Failure. Not just “accept your mistakes” when they happen.  It’s a technique in exposure to social anxiety, perfectionism, scrupulosity, and more.  It’s genius if you ask me.  The Brilliant Rationale The rationale and purpose of practicing failure is to develop more flexibility and to lean in when it’s “game-time.”   Hunter* […]

Two OCD Specialist colleagues (and friends) just having fun on how to write exposure scripts in OCD. Exposure Therapy, in a phrase, is the systematic and intentional triggering of fear while minimizing- and ideally eliminating- all pathological responses.  Imaginal Exposure accomplishes this with thoughts and ideas. It is done in the context of addressing unhelpful/pathological responses […]

Mark* was generally confident in his therapy, but bringing up sex….well, he got a little sheepish.  He had these small avoidances that he never realized were behavioral and cognitive avoidances.  For example, he would never have sex with his wife when the kids weren’t away from home.  He intentionally steered conversation away from topics with […]

Yvette had a hard time breaking through in therapy. She knew and understood well the rationale for putting in the work. Her grasp of when she felt anxious and distressed, and even what to do, was excellent. I mean, the research speaks for itself, right? Just do it- just practice what your therapist teaches? I […]

Both in the office and in my life I offer a simple reminder: just because you tremble or are afraid or feel distressed DOESN’T mean you’re doing it wrong.  In fact, maybe it’s very right.  An unbelievably common misconception among human beings is distress = bad.  Sure, distress is uncomfortable.  Yes, it signals something feels […]

One of my first questions to a professor in my earliest IOCDF BTTI (Exposure Therapy training) at Massachusetts General Hospital was, “What happens if someone actually gets sick after a contamination exposure?”  I haven’t forgotten the simplicity of the answer that went something like this: “People get sick all the time. Yes, that might create some additional […]